Organization
NIEMANN FOODS INC
Active
Other names
COUNTY MARKET PHARMACY 227
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER NIEMANN (CFO)
(217) 221-5612
Entity
Organization
Contact information
Practice address
2777 S 6TH ST, SPRINGFIELD, IL 62703-4071
(217) 744-2296
(217) 744-9826
Mailing address
PO BOX C847, QUINCY, IL 62306-0847
(217) 221-5649
(217) 221-5915
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054016034
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1479989
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
370475175004
—
IL
Enumeration date
08/31/2006
Last updated
09/27/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up